670-672 CHANEY CT
NPI 1912175159
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cresthill, IL

Active since February 11, 2008
670 CHANEY CT # 672, CRESTHILL, IL 60403(815) 741-7045 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2020, Apr 17, 2020, Aug 13, 2018 (3 updates tracked since 2018).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About 670-672 CHANEY CT

This page provides the complete NPI Profile along with additional information for 670-672 Chaney Ct, a provider established in Cresthill, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1912175159 assigned on February 2008. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is 670-672 Chaney Ct. The authorized official of this NPI record is Benjamin Stortz (Chief Administrative Officer)

NPI
1912175159 Verify this NPI
Provider Legal Name
CORNERSTONE SERVICES, INC
Other Organization Name
670-672 CHANEY CT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
670 CHANEY CT # 672 CRESTHILL, IL 60403
Location Phone
(815) 741-7045
Mailing Address
670 CHANEY CT # 672 CRESTHILL, IL 60403
Mailing Phone
(815) 741-7045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2008
Last Update Date
07-30-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BENJAMIN STORTZ

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(815) 741-7042

Reviews for 670-672 CHANEY CT

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912175159, enumerated as an "organization" on February 11, 2008.

The provider is located at 670 CHANEY CT # 672 CRESTHILL, IL 60403 and the phone number is (815) 741-7045.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).